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S 2751
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Permanent OPTN Fee Authority Act

To authorize the Secretary of Health and Human Services to collect registration fees from members of the Organ Procurement and Transplantation Network, and for other purposes.

Introduced Sep 10, 2025

Latest action (Sep 10, 2025) Read twice and referred to the Committee on Health, Education, Labor, and Pensions.

Policy area
Issues
Healthcare

Summary

This bill gives the Secretary of Health and Human Services permanent authority to collect registration fees from members of the Organ Procurement and Transplantation Network for each transplant candidate they place on the transplant waiting list. The fees collected are used to support OPTN operations and are credited to HHS as discretionary offsetting collections. The bill requires the Secretary to post information on the OPTN website about the fees collected from each member and how the fees are used, updated quarterly. The bill also requires the OPTN to consider establishing a dashboard displaying transplant statistics and data, and directs the Government Accountability Office to review the fee collection program within two years.

AI-generated plain-language summary of the bill text — neutral, and may be imperfect. See the full text below for the exact wording.

Sponsor (1)

Actions (2)

  1. Sep 10, 2025 Read twice and referred to the Committee on Health, Education, Labor, and Pensions. · senate
  2. Sep 10, 2025 Introduced in Senate

Similar bills (6)

Bills with similar text or summary — includes reintroductions across Congresses. Ranked by semantic similarity of the bill text (computed locally); a neutral discovery aid, not a claim the bills are duplicates.

Full text

IN THE SENATE OF THE UNITED STATES

September 10, 2025

Mr. Wyden introduced the following bill; which was read twice and referred to the Committee on Health, Education, Labor, and Pensions

A BILL

To authorize the Secretary of Health and Human Services to collect registration fees from members of the Organ Procurement and Transplantation Network, and for other purposes.

Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

This Act may be cited as the “Permanent OPTN Fee Authority Act”.

SEC. 2. ORGAN PROCUREMENT AND TRANSPLANTATION NETWORK.

Section 372 of the Public Health Service Act (42 U.S.C. 274) is amended—

(1) in subsection (b)(2)—

(A) by moving the margins of subparagraphs (M) through (O) 2 ems to the left;

(B) in subparagraph (A)—

(i) in clause (i), by striking “, and” and inserting “; and”; and

(ii) in clause (ii), by striking the comma at the end and inserting a semicolon;

(C) in subparagraph (C), by striking “twenty-four- hour telephone service” and inserting “24-hour telephone or information technology service”;

(D) in each of subparagraphs (B) through (M), by striking the comma at the end and inserting a semicolon;

(E) in subparagraph (N), by striking “transportation, and” and inserting “transportation;”;

(F) in subparagraph (O), by striking the period and inserting “; and”; and

(G) by adding at the end the following:

“(P) consider establishing a dashboard to display the number of transplants performed, the types of transplants performed, the number and types of organs that entered the Organ Procurement and Transplantation Network system and failed to be transplanted, and other appropriate statistics, which should be updated more frequently than annually.”; and

(2) by adding at the end the following:

“(d) Registration Fees.—

“(1) In general.—The Secretary may collect registration fees from any member of the Organ Procurement and Transplantation Network for each transplant candidate such member places on the list described in subsection (b)(2)(A)(i). Such registration fees shall be collected and distributed only to support the operation of the Organ Procurement and Transplantation Network. Such registration fees are authorized to remain available until expended.

“(2) Collection.—The Secretary may collect the registration fees under paragraph (1) directly or through awards made under subsection (b)(1)(A).

“(3) Distribution.—Any amounts collected under this subsection shall—

“(A) be credited to the currently applicable appropriation, account, or fund of the Department of Health and Human Services as discretionary offsetting collections; and

“(B) be available, only to the extent and in the amounts provided in advance in appropriations Acts, to distribute such fees among awardees described in subsection (b)(1)(A).

“(4) Transparency.—The Secretary shall—

“(A) promptly post on the website of the Organ Procurement and Transplantation Network—

“(i) the amount of registration fees collected under this subsection from each member of the Organ Procurement and Transplantation Network; and

“(ii) a list of activities such fees are used to support; and

“(B) update the information posted pursuant to subparagraph (A), as applicable for each calendar quarter for which fees are collected under paragraph

(1).

“(5) GAO review.—Not later than 2 years after the date of enactment of this subsection, the Comptroller General of the United States shall, to the extent data are available—

“(A) conduct a review concerning the activities under this subsection; and

“(B) submit to the Committee on Health, Education, Labor, and Pensions and the Committee on Finance of the Senate and the Committee on Energy and Commerce of the House of Representatives, a report on such review, including related recommendations, as applicable.”. <all>

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